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Questions and Answers
After a patient undergoes a thoracentesis, the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of:
After a patient undergoes a thoracentesis, the obtained pleural fluid is clear with a slight straw color. This fluid is most likely the result of:
- Congestive heart failure (correct)
- Empyema
- Hemothorax
- Lung carcinoma
The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0-liter super syringe. The volumes recorded are 2.85L, 2.8L, and 2.8L. Based upon the information obtained, which of the following is a correct statement?
The respiratory therapist is calibrating a spirometer and checking the volume with a 3.0-liter super syringe. The volumes recorded are 2.85L, 2.8L, and 2.8L. Based upon the information obtained, which of the following is a correct statement?
- Spirometer is accurate
- The plunger was advanced too slowly
- Spirometer may have a leak (correct)
- Another syringe needs to be used
Which of the following is an indication for high-frequency jet ventilation?
Which of the following is an indication for high-frequency jet ventilation?
- Bronchopleural fistula (correct)
- Necrotizing lesion of the right lung
- Wilson Mikity syndrome
- Centrilobular emphysema
What treatment should the respiratory therapist recommend for a 43 y/o female patient who is unresponsive after a total abdominal hysterectomy?
What treatment should the respiratory therapist recommend for a 43 y/o female patient who is unresponsive after a total abdominal hysterectomy?
What is the normal VD/VT ratio for a patient breathing room air?
What is the normal VD/VT ratio for a patient breathing room air?
All of the following could cause a patient's right hemidiaphragm to be elevated, EXCEPT:
All of the following could cause a patient's right hemidiaphragm to be elevated, EXCEPT:
Which of the following would most likely indicate that a 2 y/o child with croup is ready for extubation?
Which of the following would most likely indicate that a 2 y/o child with croup is ready for extubation?
Which of the following should the respiratory therapist monitor for a patient who is experiencing nausea and vomiting and has been started on Lasix?
Which of the following should the respiratory therapist monitor for a patient who is experiencing nausea and vomiting and has been started on Lasix?
While instructing a patient prior to a vital capacity maneuver, the RT should direct the patient to:
While instructing a patient prior to a vital capacity maneuver, the RT should direct the patient to:
These results from a 77 y/o male patient are most consistent with which of the following: shortness of breath, fine basilar crackles, +2 pitting edema, and a chest X-ray with a butterfly pattern?
These results from a 77 y/o male patient are most consistent with which of the following: shortness of breath, fine basilar crackles, +2 pitting edema, and a chest X-ray with a butterfly pattern?
What formula will determine the total flow being delivered to a patient with a 28% venturi mask running at 6 L/min?
What formula will determine the total flow being delivered to a patient with a 28% venturi mask running at 6 L/min?
What should the respiratory therapist do for a patient with end-stage pulmonary fibrosis who experiences increased WOB and shortness of breath while receiving O2 at 2L/min via a transtracheal oxygen catheter?
What should the respiratory therapist do for a patient with end-stage pulmonary fibrosis who experiences increased WOB and shortness of breath while receiving O2 at 2L/min via a transtracheal oxygen catheter?
What should the respiratory therapist check to restore a normal waveform on the arterial line graphic?
What should the respiratory therapist check to restore a normal waveform on the arterial line graphic?
What should the respiratory therapist conclude if a patient on mechanical ventilation experiences a significant rise in heart rate and a severe fall in blood pressure after increasing PEEP to 15 cm H20?
What should the respiratory therapist conclude if a patient on mechanical ventilation experiences a significant rise in heart rate and a severe fall in blood pressure after increasing PEEP to 15 cm H20?
Flashcards
What does clear, straw-colored pleural fluid indicate?
What does clear, straw-colored pleural fluid indicate?
Clear, straw-colored pleural fluid obtained after a thoracentesis procedure is a strong indicator of Congestive Heart Failure (CHF).
What do consistent spirometer readings like 2.85L, 2.8L, and 2.8L indicate?
What do consistent spirometer readings like 2.85L, 2.8L, and 2.8L indicate?
If a spirometer consistently records volumes like 2.85L, 2.8L, and 2.8L, it suggests a leak in the device.
What is High-frequency jet ventilation used for?
What is High-frequency jet ventilation used for?
High-frequency jet ventilation is a respiratory technique used to manage Bronchopleural Fistula. It involves applying mean airway pressures and low tidal volumes to optimize oxygenation without worsening the fistula.
What should be done for an obtunded patient post-abdominal hysterectomy?
What should be done for an obtunded patient post-abdominal hysterectomy?
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What is the normal VD/VT ratio?
What is the normal VD/VT ratio?
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What does right-side hyperlucency with absent vascular markings indicate?
What does right-side hyperlucency with absent vascular markings indicate?
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What indicates potential readiness for extubation in a 2-year-old with croup?
What indicates potential readiness for extubation in a 2-year-old with croup?
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What should be monitored after NGT and Lasix?
What should be monitored after NGT and Lasix?
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Describe the instructions for a vital capacity maneuver.
Describe the instructions for a vital capacity maneuver.
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What are some key indicators of pulmonary edema?
What are some key indicators of pulmonary edema?
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How do you calculate the total flow for a 28% Venturi mask at 6 L/min?
How do you calculate the total flow for a 28% Venturi mask at 6 L/min?
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What action is needed if a patient on transtracheal oxygen experiences increased WOB?
What action is needed if a patient on transtracheal oxygen experiences increased WOB?
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What should be checked if the waveform on an arterial line is dampened?
What should be checked if the waveform on an arterial line is dampened?
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What do a rise in HR and drop in BP with increased PEEP indicate?
What do a rise in HR and drop in BP with increased PEEP indicate?
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What might diminished breath sounds and decreased inspiratory capacity after thoracotomy suggest?
What might diminished breath sounds and decreased inspiratory capacity after thoracotomy suggest?
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Study Notes
Thoracentesis and Pleural Fluid
- Clear, straw-colored pleural fluid post-thoracentesis indicates Congestive Heart Failure (CHF).
Spirometer Calibration
- Recorded volumes of 2.85L, 2.8L, and 2.8L suggest spirometer may have a leak.
High-Frequency Jet Ventilation
- Indicated for Bronchopleural Fistula; utilizes mean airway pressures and low tidal volumes to optimize oxygenation without worsening fistula.
Post-Anesthesia Care
- For an obtunded patient post-abdominal hysterectomy, inserting an oropharyngeal airway (OPA) is recommended due to unresponsiveness.
Ventilation Ratios
- Normal VD/VT (dead space to tidal volume) ratio for room air breathing is 20-40%.
Elevated Right Hemidiaphragm Causes
- Right-side hyperlucency with absent vascular markings suggests pneumothorax, not an elevated diaphragm.
Extubation Readiness in Pediatric Patient
- Breath sounds around the tube on auscultation indicate potential readiness for extubation in a intubated 2-year-old with croup.
Monitoring After NGT and Lasix
- Serum electrolytes must be monitored due to potential fluid loss with Lasix administration.
Vital Capacity Maneuver Instructions
- Instruct patient to inhale to Total Lung Capacity (TLC) then exhale to Residual Volume (RV) during vital capacity maneuver.
Pulmonary Edema Indicators
- Symptoms of shortness of breath, fine basilar crackles, +2 pitting edema, and a butterfly pattern on chest X-ray suggest pulmonary edema and CHF.
Total Flow with Venturi Mask
- Total flow delivered with a 28% Venturi mask at 6 L/min is calculated as 6 x 11 (flow factor = 11).
Transtracheal Oxygen Issues
- Increased work of breathing (WOB) and shortness of breath in a patient on transtracheal oxygen necessitate flushing the device with isotonic saline.
Dampened Waveform on Arterial Line
- To restore normal graphic on arterial line monitoring, check the transducer dome for air bubbles.
PEEP Study Results
- A significant rise in heart rate and drop in blood pressure at increased PEEP suggests the patient is experiencing hypovolemia.
Incentive Spirometry in Post-Op Patients
- Diminished breath sounds at lung bases and decreased inspiratory capacity post-thoracotomy may indicate complications needing further evaluation.
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Description
Prepare for your NBRC exams with this set of practice flashcards. Each card presents a scenario or question relevant to respiratory therapy, with key concepts and definitions for effective review. Ideal for students and professionals looking to enhance their knowledge and exam readiness.
